- Molina Healthcare (Alexandria, VA)
- …gerontology, public health or social work or related **REQUIRED EXPERIENCE:** 1-3 years in case management, disease management, managed care or medical or ... **JOB DESCRIPTION** For this position we are seeking a Case Manager who lives in VIRGINIA and...year of professional experience. **PREFERRED EXPERIENCE:** 3-5 years in case management, disease management, managed care… more
- Molina Healthcare (Blue Ridge, VA)
- …of Nursing. Bachelor's Degree in Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or ... and must be licensed for the state of VIRGINIA. Case Manager will work in remote and...Bachelor's Degree in Nursing **Preferred Experience** 3-5 years in case management, disease management, managed care… more
- Molina Healthcare (Suffolk, VA)
- …with disabilities/chronic conditions and Long Term Services & Supports. + 1-3 years in case management, disease management, managed care or medical or ... and must be licensed for the state of VIRGINIA. Case Manager will work in remote and...Degree in Nursing **Preferred Experience** + 3-5 years in case management, disease management, managed care… more
- ChenMed (Colonial Heights, VA)
- … Case Manager Certification (CCMC) or the American Association of Managed Care Nurses (CMCN) desired. We're ChenMed and we're transforming healthcare for ... we need great people to join our team. The Case Manager is responsible for enhancing the...**ESSENTIAL JOB DUTIES/RESPONSIBILITIES:** + Coordinates the integration of social services/ case management functions into the patient care ,… more
- Molina Healthcare (White Hall, VA)
- …with disabilities/chronic conditions and Long Term Services & Supports. + 1-3 years in case management, disease management, managed care or medical or ... **Preferred Education** Bachelor's Degree in Nursing **Preferred Experience** + 3-5 years in case management, disease management, managed care or medical or… more
- Elevance Health (Richmond, VA)
- …48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for performing care management within the scope of ... **Telephonic Nurse Case Manager II** **Location: This is...years "telephonic" Case Management experience with a Managed Care Company preferred. + Managed… more
- Elevance Health (Richmond, VA)
- …the ability to interpret and apply member contracts, member benefits, and managed care products preferred. + Certification as a Case Manager is ... the applicable medical policy and industry standards, accurately interpreting benefits and managed care products, and steering members to appropriate providers,… more
- Elevance Health (Norfolk, VA)
- …states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of ... **Telephonic Nurse Case Manager II** **Location: This is...**Telephonic Nurse Case Manager II** **Location: This is a virtual position....license preferred. + Minimum 2 years' experience in acute care setting. + Managed Care … more
- Elevance Health (Arlington, VA)
- …programs for autism and depression, and insightful analytics to improve the delivery of care .** **BH Case Manager II** Responsible for performing case ... broad range of complex psychiatric/substance abuse and/or medical disorders. + Managed care experience required. **Preferred Skills, Capabilities and… more
- CVS Health (Richmond, VA)
- …mental health and substance abuse benefits, community treatment resources, mental health managed care programs, and Aetna Behavioral Health policies and ... in Virginia, 25-40% of the time. **Preferred Qualifications:** - 2+ years of managed care experience. - Discharge planning experience preferred. - Utilization… more
- Elevance Health (Arlington, VA)
- …Skills, Capabilities, and Experiences:** + Understanding of the basic principles of managed care and the concepts of publicly financed health insurance ... **Community Health Care Caser Worker** **Location: Field based in Prince...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Takeda Pharmaceuticals (Richmond, VA)
- …true to the best of my knowledge. **Job Description** Join Takeda as a Manager of Payer Contracting. Where you will lead the development and implementation of ... will also act as the key business partner with Managed Markets, Legal and Finance to guide the evaluation...evaluation of new commercial opportunities; Participate in the business case process to review the opportunities and assist in… more
- CenterWell (Christiansburg, VA)
- … Case Managers and clinical staff documentation to include starts-of- care , resumption-of-cares, and re-certifications, for appropriateness of care , delivery, ... and outcomes of care analysis to determine efficiency, the efficacy of case management system as well as any other systems and process. Competently performs… more
- Elevance Health (Bon Air, VA)
- …+ Broad clinical knowledge base of disease processes strongly preferred. + Prior managed care and case management experience preferred. + Knowledge ... or BS in nursing preferred. + Certification as a Case Manager is preferred. + Certification in...to interpret and apply member contracts, member benefits, and managed care products strongly preferred. For candidates… more
- Veterans Affairs, Veterans Health Administration (Hampton, VA)
- …facility and community-based outpatient clinics. This position serves as the Primary Care -Mental Health Integration Program Manager . The incumbent is responsible ... a model that integrates mental health services into primary care , the entry point to care for...the clinical programs detailed below. In addition, the Program Manager has broad management responsibilities, including full administrative and… more
- CDM Smith (Chesapeake, VA)
- …CDM Smith currently has a new opportunity for a Senior Project Manager with previous experience managing industrial water and/or wastewater projects to join ... Smith's mission by: * Managing and serving as the lead Project Manager on water/wastewater projects * Providing technical guidance, senior leadership, and mentoring… more
- Gentiva (Woodbridge, VA)
- …difference in people's lives every day. **Overview** We're looking for a **Patient Care Manager ** to join our team. **Gentiva Hospice is GROWING!!** **This ... **Mon-Fri - 8a-5p - Office Position** **Requirements:** **- Hospice or Home Care Case Management experience** **- Management/Supervisory experience** **- BSN… more
- Deloitte (Richmond, VA)
- …experience + Bachelor's Degree Required + 3 years' + experience with Medicaid managed care capitation rate development and/or fee-for-service rate development + ... are dependent on the facts and circumstances of each case . A reasonable estimate of the current range is...Work you'll do As a Deloitte Consulting Health Actuary Manager in Deloitte's GPS Human Capital Actuarial and Insurance… more
- Merck (Richmond, VA)
- **Job Description** The Account Executive (Strategic Account Manager ) is responsible for driving revenue through strategic sales execution and key account planning. ... The Strategic Account Manager (SAM) will provide an understanding of customer goals,...management experience at the national and/or global level + Managed a customer generating $10M of annual revenue +… more
- Highmark Health (Richmond, VA)
- …degree Preferred + None **EXPERIENCE** Required + 5 years of clinical or managed care experience Preferred + Health insurance experience **LICENSES OR ... Support the clinical management team to assure that there are clear expectations for Case Managers & Disease Managers as it relates to specific models and client… more